All five singles released from the album reached the top five on the Billboard Hot 100, with "Live to Tell", "Papa Don't Preach", and "Open Your Heart" peaking at number one.
Musically, the songs on the album took a different direction from her previous endeavours, incorporating classical music in order to engage an older audience who had been skeptical of her music.
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On March 6, 1986, at the Kensington Roof Gardens in London, during a press conference for Shanghai Surprise, Madonna confirmed that she was working on a new album named Live to Tell, which would be later changed to True Blue.
She collaborated with Stephen Bray, who had worked on the preceding Like a Virgin, and with The Virgin Tour's musical director Patrick Leonard.